Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALISA TABATHA WAGNER, OTR
Active Sole ProprietorALISA TABATHA WAGNER, OTR is a Occupational Therapist healthcare provider located in MC FARLAND, Wisconsin. NPI 1710121793 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MC FARLAND, WI
Registration Details
- NPI Number
- 1710121793
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 22, 2009 (17.288675669092 yrs)
- Last Updated
- Apr 22, 2009
- License
-
4056-026 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5910 RED OAK TRLMC FARLAND, WI, 535588828Browse WI providers · Browse ZIP 53558
- Phone
- 6082179924
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in MC FARLAND, WI
| Name | Credential | NPI |
|---|---|---|
| MELANIE GRACE PETERSEN | OTR/L | 1255606281 |
| MRS. TRACY ROCHELLE HOHN-PAULAT | OTR | 1821348582 |
| EMILY LAIRD | — | 1538579743 |
| LINDSEY BLAZEL | OTR | 1871028985 |
| CHELSEA SILVERS | OTR/L | 1740802172 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.